Physiotherapy Theory and Practice最新文献

{"title":"Psychosocial factors and physical function in higher education students with musculoskeletal pain attending direct access physiotherapy: An observational longitudinal study.","authors":"Heidi Riska, Jaro Karppinen, Eveliina Heikkala, Riku Nikander, Jari Villberg, Arto J Hautala","doi":"10.1080/09593985.2025.2494113","DOIUrl":"10.1080/09593985.2025.2494113","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal pain and mental health problems commonly coexist in students, potentially impacting physical function. However, there is a lack of follow-up studies investigating the relationship between changes in psychosocial stress and physical function among higher education students.</p><p><strong>Objective: </strong>We examined whether psychosocial factors at baseline or the change in psychosocial profile over 3 months were associated with physical function at a 3-month follow-up in higher education students with musculoskeletal pain.</p><p><strong>Methods: </strong>Participants were students attending direct access physiotherapy due to musculoskeletal pain (<i>n</i> = 133). Psychosocial factors were measured with the Short Form of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ-SF), and with the Mental Health Index (MHI-5). Physical function was measured using the Patient-Specific Functional Scale. The associations were analyzed using linear regression analysis adjusted for gender and age.</p><p><strong>Results: </strong>A higher load of psychosocial factors, measured by the ÖMPSQ-SF at baseline, was associated with lower physical function at the 3-month follow-up, regression coefficient beta (ß) -0.557, 95% confidence interval (CI) [-1.04, -0.08]. No association was found between physical function and the MHI-5. The median of the ÖMPSQ-SF score decreased seven points (<i>p</i> < .001) between the baseline (32, interquartile range (IQR) 25-42) and 3-month follow-up (25, IQR 17-38). A reduction in the ÖMPSQ-SF score was associated with better physical function at 3 months (ß -0.332; CI 95% -0.50 to -0.16).</p><p><strong>Conclusion: </strong>A reduced psychosocial load over three months is associated with better physical function in students with musculoskeletal pain. Addressing psychosocial factors appears to be important in direct access physiotherapy for patients with reduced physical function.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2055-2066"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construct validity of the TCI mobile app in chronic stroke.","authors":"Laura Hellen S C Gomes, Gabriela Cristina Dos Reis, Nayara Kelley de Oliveira, Sarah Dos Anjos, Natalia Duarte Pereira","doi":"10.1080/09593985.2025.2506550","DOIUrl":"10.1080/09593985.2025.2506550","url":null,"abstract":"<p><strong>Background: </strong>The TCI Mobile application (TCI Mobile app) has tools to help assess the mobility of people with chronic stroke. Objective: To investigate the construct validity of the TCI Mobile app to assess the mobility of people with chronic stroke.</p><p><strong>Methods: </strong>This cross-sectional study included 30 participants with chronic stroke (>6 months), able to walk 8 meters, three times a day with or without an assistive device. Data collection spans 5 days, starting with sociodemographic data and assessment scales: the Timed Up and Go Test, Life Space Assessment, 6-meter Walk Test, 10-meter Walk Test, and Lower Extremity Motor Activity Log. After baseline data, participants wore the TCI Mobile app and an activity monitor in their homes for 3 consecutive days. The Cohen correlation test was used to assess correlations, categorized as small (0.10-0.29), moderate (0.30-0.49), and large (>0.50).</p><p><strong>Results: </strong>There was a positive and large correlation between the TCI Mobile and activity monitors (0.63 <i>p</i> < .01), 10-meter Walk Test (0.54 <i>p</i> < .01) and Life Space Assessment (0.54 <i>p</i> < .01); a negative and large correlation with the Timed Up and Go Test (-0.50 <i>p</i> < .01); and a positive and moderate correlation with the 6-meter Walk Test (0.42 <i>p</i> = .02) and Lower Extremity Motor Activity Log (0.45 <i>p</i> = .01).</p><p><strong>Conclusion: </strong>The TCI Mobile app demonstrates strong construct validity for assessing mobility in chronic stroke patients. By offering accessible and objective data, it supports clinical decision-making and promotes greater patient engagement in real-world rehabilitation settings.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2173-2181"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining a capability framework and training requirements to support provision of physiotherapy via telehealth in an Australian public tertiary health setting: a multi-methods study.","authors":"Michelle Cottrell, Sarah Featherston, Kelsey Pateman","doi":"10.1080/09593985.2025.2498690","DOIUrl":"10.1080/09593985.2025.2498690","url":null,"abstract":"<p><strong>Background: </strong>Inadequate clinician training and support is a primary challenge to physiotherapists' adopting telehealth. Training must be underpinned by relevant capability frameworks and co-developed to meet the needs and preferences of the existing physiotherapy workforce.</p><p><strong>Objective: </strong>Establish a capability framework for delivery of care via telehealth and understand training requirements to achieve competency specifically for the publicly funded physiotherapy workforce.</p><p><strong>Methods: </strong>Sequential multi-methods study design. Phase 1: Physiotherapists with telehealth experience participated in a 2-round e-Delphi process to establish consensus on core capability framework domains (Round 1, <i>n</i> = 29; Round 2, <i>n</i> = 26). Phase 2: Physiotherapists (<i>n</i> = 35) subsequently rated their current knowledge and confidence for each capability item. Phase 3: Participatory focus groups, involving physiotherapists (<i>n</i> = 37) from six facilities, identified theoretical and practical domains most relevant to local contexts via thematic analysis.</p><p><strong>Results: </strong>Fifty-three capability items were produced across eight domains (Compliance, Patient privacy and confidentiality, Patient safety, Technology Skills, Telehealth Delivery, Assessment and Diagnosis, Care Planning and Management, Access and Equity). Knowledge and confidence were ranked lowest within the Technology Skills domain (% respondents reporting high levels of confidence = 28.6%-42.9%), and highest in Telehealth Delivery (% respondents reporting high levels of confidence = 54.2% -80%). Focus groups identified technology skills, risk management (patient safety) and superuser support as priority areas for training.</p><p><strong>Conclusion: </strong>Physiotherapists identified additional local training competencies to compliment the 53-item capability framework. Adopting a sequential multi-methods and participatory approach successfully produced a training package framework suitable for implementation in a public outpatient setting.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2130-2140"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An open label randomized controlled trial comparing physical therapy with low load blood flow restriction vs. standard physical therapy in treatment of lateral epicondylitis.","authors":"Aaron Lear, Philip Toal, Daniel Hass, Arthur McCreary, Huijun Xiao, Chanda Mullen","doi":"10.1080/09593985.2025.2562909","DOIUrl":"https://doi.org/10.1080/09593985.2025.2562909","url":null,"abstract":"<p><strong>Background: </strong>Blood flow restriction treatment for lateral epicondylitis has little empirical evidence to support its use.</p><p><strong>Objectives: </strong>To identify whether a blood flow restriction physical therapy (BFRPT) program is superior to a standard physical therapy (SPT) program when treating lateral epicondylitis.</p><p><strong>Methods: </strong>A randomized controlled trial comparing a BFRPT program to an SPT program over six weekly visits was performed. The primary outcome was the change in the patient rated tennis elbow evaluation (PRTEE) score at 12 months. Secondary outcomes included the numeric pain rating scale (NPRS) and change in grip strength.</p><p><strong>Results: </strong>Forty-one patients were enrolled and included in the intention to treat analysis. The PRTEE was analyzed with linear mixed effect model and revealed statistically significant improvements in both the SPT group -26.22 (95%CI: -37.35, -15.09, <i>p</i> < .001), and the BFRPT group -30.54 (95%CI: -42.44, -18.63, <i>p</i> < .001). BFRPT showed non-statistically significant improvement at 12 months compared to SPT, -4.32 (95% CI: -9.17,17.81, <i>p</i> = .53). Secondary outcomes also showed non-statistically significant differences: NPRS at 12 months, favoring SPT with a between group difference of -0.23 (95% CI:-2.56, 2.1, <i>p</i> = .85); pain-free grip strength favoring SPT -14.05 kg (95%CI: -41.28,11.59, <i>p</i> = .25), and maximum grip strength also favoring SPT -4.95 kg (95%CI:-28.61, 18.71, <i>p</i> = .66) at the completion of therapy.</p><p><strong>Conclusion: </strong>This real-world trial suggests the addition of once weekly BFRPT is no better than simply performing a standard once weekly heavy load SPT protocol with prescribed HEP.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is exercise progression necessary to increase cephalic vein diameter and distensibility in patients with chronic kidney disease? A case series.","authors":"Júlio Henrique Policarpo, Juliana Rodrigues da Silva, Lívia Gabriele da Costa Silva, Frederico Castelo Branco Cavalcanti, Alessandra Campos de Oliveira, Francini Porcher Andrade, Patrícia Érika de Melo Marinho","doi":"10.1080/09593985.2025.2566148","DOIUrl":"https://doi.org/10.1080/09593985.2025.2566148","url":null,"abstract":"<p><strong>Introduction: </strong>Exercise is used for maturing arteriovenous fistula (AVF) in patients with chronic kidney disease (CKD) to improve endothelial function and vessel adjustments for hemodialysis.</p><p><strong>Objective: </strong>To evaluate the effects of a progressive exercise protocol to increase the diameter and distensibility of the cephalic vein prior to AVF creation.</p><p><strong>Method: </strong>This is a case series study developed with nine patients with CKD (stages 4 and 5) aged between 35-75 years who participated in the training protocol distributed in two groups [non-progression group (NPG) and exercise progression group (EPG)], trained five days a week for four weeks. Patients were evaluated for diameter and distensibility of the cephalic vein (ultrasonography) at 2, 10 and 20 cm of the non-dominant limb and handgrip strength (HGS) before and after the protocol.</p><p><strong>Results: </strong>Th patients who participated in the study all showed an increase in the diameter and distensibility of the cephalic vein. Younger and older patients showed better performance in terms of diameter and distensibility of the cephalic vein in the 2 cm (1.3 to 4.2 mm) and 20 cm segments (1.6 to 5.2 mm), respectively. All patients increased their HGS after applying the exercise protocol with a range of 30-68 kilogram-force (kgf) and 35 to 68 kgf for the NPG and EPG groups, respectively.</p><p><strong>Conclusion: </strong>Exercises with and without load progression may indicate the onset of an increase in the diameter and distensibility of the cephalic vein in patients with CKD, notably in the group which performed the protocol without load adjustment.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connective tissue manipulation and interferential currents in patients with functional constipation: A randomized controlled trial.","authors":"Semiha Yenişehir, İlkim Çıtak Karakaya, Süleyman Polater, Aysun Yakut, Mehmet Gürhan Karakaya","doi":"10.1080/09593985.2025.2566937","DOIUrl":"10.1080/09593985.2025.2566937","url":null,"abstract":"<p><strong>Background: </strong>Functional constipation (FC) is a common condition that includes difficult, irregular bowel movements, abdominal pain, and bloating.</p><p><strong>Purpose: </strong>To investigate the comparative effectiveness of connective tissue manipulation (CTM) and interferential currents (IFCs) over behavioral education and therapy (BET) on FC.</p><p><strong>Methods: </strong>Fifty-four patients with FC were randomly assigned into four groups. The control group received only BET, the intervention groups received CTM, IFC_0-100, or IFC₁₀₀ additional to the BET, 3 days/week for 4 weeks. CTM was initially applied to the lumbosacral area; in subsequent sessions, the lower thoracic, scapular, interscapular, and cervical regions were also included, respectively. Bowel function (7-day-bowel diary), constipation severity (Constipation Severity Instrument), and QoL (Patient Assessment of Constipation Quality of Life) were assessed at baseline, after interventions, and at the end of the 1-month follow-up. Treatment satisfaction was assessed with visual analog scales.</p><p><strong>Results: </strong>The defecation frequency increased and the defecation duration per attempt decreased in all groups (<i>p</i> < .05). In the CTM, IFC_0-100 and IFC₁₀₀ groups, defecation frequency increased more than in the control group (u = 23.500, u = 26.500, u = 15.500, respectively), (<i>p</i> < .001). The constipation severity decreased (<i>p</i> < .05), and this effect was maintained in all groups at the follow-up period (<i>p</i> > .05). QoL improved in all groups after the interventions, and was higher in the IFC_0-100 [95% CI=(-15.91-(-2.09)], and IFC₁₀₀ [95% CI=(-13.99-(-0.17)], (<i>p</i> < .05) groups than control group at follow-up, with no significant difference between control and CTM groups (<i>p</i> > .05). Treatment satisfaction was significantly higher in CTM [95% CI=(-1.3557-(-0.3443)], IFC_0-100 [95% CI=(-1.6911-(-0.6605)], and IFC₁₀₀ [95% CI=(-1.5450-(-0.5144)] groups than control group.</p><p><strong>Conclusion: </strong>Additional CTM or IFCs to BET provide significant and long-lasting (at least 1 month) contributions to the bowel functions, QoL, and increase treatment satisfaction in patients with FC.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional and physiological outcomes in axial spondyloarthritis: comparing biological and non-biological treatment approaches.","authors":"Fulden Sari, Zeliha Çelİk, Gülay Alp","doi":"10.1080/09593985.2025.2566146","DOIUrl":"https://doi.org/10.1080/09593985.2025.2566146","url":null,"abstract":"<p><strong>Background: </strong>Pharmacological treatments have been shown to improve physical and physiological functions in patients with axial spondyloarthritis (axSpA).</p><p><strong>Purpose: </strong>This study aimed to compare core endurance, exercise capacity, cardiopulmonary responses during exercise testing, quality of life (QoL), and disease activity among patients with axSpA using biological and non-biological treatments, and healthy controls.</p><p><strong>Methods: </strong>This cross-sectional study involved 52 patients on biological therapy, 57 on non-biological drugs, and 46 healthy controls. Core endurance (McGill tests), exercise capacity (six-minute stepper test), and disease activity indexes (The Bath Ankylosing Spondylitis Disease Indices; BASDAI, BASMI, BASFI, ASDAS-CRP, Leeds Enthesitis Index; LEI), spinal and hip radiographic scores (modified Stoke Ankylosing Spondylitis Spinal Score; mSASSS), Bath Ankylosing Spondylitis Radiology Hip Index; BASRI-hip), pain (Numeric Rating Scale), patient and physician global assessments, cardiopulmonary responses, quadriceps muscle fatigue and dyspnea (Modified Borg scale), laboratory markers (CRP, ESR), and QoL (Ankylosing Spondylitis QoL Scale; ASQoL) were measured.</p><p><strong>Results: </strong>Step counts in the six-minute stepper test, trunk flexor, and lateral flexor muscle endurance values were significantly lower, while fatigue and quadriceps muscle fatigue during the six-minute stepper test were significantly higher in patients compared to healthy controls (<i>p</i> < .05). BASMI values were significantly lower in the non-biological treatment group compared to the biological group (<i>p</i> < .05). Step counts showed weak correlation with BASMI (<i>r</i> = -0.142; <i>p</i> = .167), moderate-strong correlation with BASDAI (<i>r</i> = -0.458; <i>p</i> < .001), ASQoL (<i>r</i> = -0.450; <i>p</i> < .001), ASDAS-CRP (<i>r</i> = -0.361; <i>p</i> < .001), trunk extensor and flexor muscle endurance (<i>r</i> = 0.489; <i>p</i> < .001, <i>r</i> = 0.485; <i>p</i> < .001), right and left trunk lateral flexor muscle endurance (<i>r</i> = 0.584; <i>p</i> < .001, <i>r</i> = 0.572; <i>p</i> < .001), and BASFI (<i>r</i> = -0.582; <i>p</i> < .001). Step count variance was explained by BASMI, BASDAI, BASFI, ASQoL, and trunk endurance, accounting for 34.1% of the total variance.</p><p><strong>Conclusion: </strong>These findings may assist clinicians in planning personalized rehabilitation programs by considering not only functional limitations but also treatment history of the patients with axSpA. Understanding the effects of pharmacological treatment history on exercise capacity and core muscle endurance may guide the development of more effective physiotherapy approaches.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of usual walking speed as an indicator of postoperative recovery and estimation of its minimal clinically important difference in patients with colorectal cancer undergoing radical surgery.","authors":"Takuya Yanagisawa, Noriatsu Tatematsu, Mioko Horiuchi, Saki Migitaka, Shotaro Yasuda, Keita Itatsu, Tomoyuki Kubota, Hideshi Sugiura","doi":"10.1080/09593985.2025.2560572","DOIUrl":"https://doi.org/10.1080/09593985.2025.2560572","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to ascertain the validity of usual walking speed (UWS) as a postoperative recovery indicator and investigate the minimal clinically important difference (MCID) in UWS before to 1 week after radical surgery in patients with colorectal cancer (CRC).</p><p><strong>Methods: </strong>To ascertain the concurrent validity (based on the hypothesis, test if there is a difference in the measured results in a population with a certain characteristic) of UWS as an indicator of postoperative recovery, the correlation coefficient between UWS and 6-minute walk distance (6MWD) changes was calculated. To assess the construct validity, the effect size (ES) was calculated for the difference between groups of UWS and 6MWD changes by comparing between patients with and without the following characteristics: older age, open surgery, postoperative complications, and delayed postoperative ambulation. To evaluate the responsiveness of UWS, ES and standardized response mean (SRM), for the difference within groups, were calculated. The MCID of UWS was calculated using the EuroQol 5-dimension 5 L questionnaire as an anchor.</p><p><strong>Results: </strong>Seventy-two patients were included. UWS and 6MWD changes were moderately correlated (<i>r</i> = 0.628, <i>p</i> < .001), confirming the concurrent validity. Although the construct validity of UWS was somewhat low, it was judged to be comparable to that of 6MWD, which was used as an indicator of postoperative recovery. The ES and SRM of UWS were 0.56 and 0.73, respectively. The MCID of UWS was determined to be -0.18 m/s (area under the curve: 0.751 [95% confidence interval: 0.612 - 0.889]).</p><p><strong>Conclusion: </strong>Regarding indicators of postoperative recovery, UWS, with low patient burden, short measurement time, and no need for a large space, may be a useful surrogate in settings and cases where 6MWD could not be evaluated, with an MCID of -0.18 m/s from before surgery to 1 week after in patients with CRC.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Horizontal semicircular canalith jam mimicking acute vestibular syndrome: physiotherapy-guided diagnosis and treatment in three cases.","authors":"Ajay Kumar Vats, Alfarghal Mohamad, Avinash Bijllani, Ramesh Rohiwal, Shreya Vats, Sudhir Kothari","doi":"10.1080/09593985.2025.2562910","DOIUrl":"https://doi.org/10.1080/09593985.2025.2562910","url":null,"abstract":"<p><strong>Background: </strong>Canalith jam (CJ) is a rare variant of benign paroxysmal positional vertigo (BPPV), resulting from otoconial obstruction of endolymph flow. It causes persistent, direction-fixed nystagmus (DFN) and can mimic acute vestibular syndrome (AVS), including vestibular neuritis (VN) or stroke.</p><p><strong>Objective: </strong>To describe the clinical and infrared video-Frenzel (IRVF) based diagnosis of horizontal semicircular canal (HSC) canalith jam (HSCCJ), a subtype of CJ, and to highlight the role of physiotherapy-guided bedside maneuvers in its successful management.</p><p><strong>Case descriptions: </strong>Three patients (aged 50, 55, and 62) presented with positionally triggered acute vertigo. Patients 1 and 3 had sustained DFN consistent with AVS, whereas patient 2 developed persistent DFN during positional testing. The diagnosis of HSCCJ was established through positional tests [supine roll test (SRT), bow and lean test (BLT)] and assessment of DFN using IRVF goggles.</p><p><strong>Intervention: </strong>All patients underwent a physiotherapist-administered head-shaking maneuver (HSM) in the yaw plane, performed with 30° of neck flexion. One patient also received the Gufoni maneuver (GM). Maneuvers were guided by real-time oculomotor responses recorded via videonystagmoscopy.</p><p><strong>Outcomes: </strong>All patients experienced complete resolution of symptoms and nystagmus within 4 hours, confirmed by repeat testing at 4 and 24 hours. Transient nausea and vomiting were the only adverse effects observed.</p><p><strong>Conclusion: </strong>Although the diagnosis of HSCCJ depends on clinical and oculographic evaluation, physiotherapy-guided HSM is a simple, safe, and effective bedside intervention. Incorporating this approach into vestibular rehabilitation (VR) protocols may enhance outcomes in atypical BPPV.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/09593985.2025.2563928","DOIUrl":"https://doi.org/10.1080/09593985.2025.2563928","url":null,"abstract":"","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"i"},"PeriodicalIF":1.5,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}